Mortality after surgery in Europe : a 7 day cohort study
Clinical outcomes after major surgery are poorly described at the national level. Evidence of heterogeneity between hospitals and health-care systems suggests potential to improve care for patients but this potential remains unconfirmed. The European Surgical Outcomes Study was an international stud...
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ftunivszegedir:oai:publicatio.bibl.u-szeged.hu:30177 2024-05-19T07:43:02+00:00 Mortality after surgery in Europe : a 7 day cohort study Pearse Rupert M Moreno Rui P Bauer Peter Pelosi Paolo Metnitz Philipp Spies Claudia Vallet Benoit Vincent Jean-Louis Hoeft Andreas Rhodes Andrew Kollaborációs szervezet: European Surgical Outcomes Study (EuSOS) group for the Trials gr Molnár Zsolt Csomós Ákos Szűcs Ákos 2012 text http://publicatio.bibl.u-szeged.hu/30177/ http://publicatio.bibl.u-szeged.hu/30177/1/1-s2.0-S0140673612611489-main.pdf https://doi.org/10.1016/S0140-6736%2812%2961148-9 https://doi.org/10.1016/S0140-6736(12)61148-9 eng eng http://publicatio.bibl.u-szeged.hu/30177/1/1-s2.0-S0140673612611489-main.pdf Pearse Rupert M; Moreno Rui P; Bauer Peter; Pelosi Paolo; Metnitz Philipp; Spies Claudia; Vallet Benoit; Vincent Jean-Louis; Hoeft Andreas; Rhodes Andrew; Kollaborációs szervezet: European Surgical Outcomes Study (EuSOS) group for the Trials gr; Molnár Zsolt; Csomós Ákos; Szűcs Ákos; et al. (kollab. közrem.): Mortality after surgery in Europe : a 7 day cohort study. LANCET, 380 (9847). pp. 1059-1065. ISSN 0140-6736 (2012) doi:10.1016/S0140-6736(12)61148-9 info:eu-repo/semantics/openAccess 03.02. Klinikai orvostan Folyóiratcikk PeerReviewed 2012 ftunivszegedir https://doi.org/10.1016/S0140-6736%2812%2961148-910.1016/S0140-6736(12)61148-9 2024-04-24T00:03:29Z Clinical outcomes after major surgery are poorly described at the national level. Evidence of heterogeneity between hospitals and health-care systems suggests potential to improve care for patients but this potential remains unconfirmed. The European Surgical Outcomes Study was an international study designed to assess outcomes after non-cardiac surgery in Europe.We did this 7 day cohort study between April 4 and April 11, 2011. We collected data describing consecutive patients aged 16 years and older undergoing inpatient non-cardiac surgery in 498 hospitals across 28 European nations. Patients were followed up for a maximum of 60 days. The primary endpoint was in-hospital mortality. Secondary outcome measures were duration of hospital stay and admission to critical care. We used χ(2) and Fisher's exact tests to compare categorical variables and the t test or the Mann-Whitney U test to compare continuous variables. Significance was set at p<0·05. We constructed multilevel logistic regression models to adjust for the differences in mortality rates between countries.We included 46,539 patients, of whom 1855 (4%) died before hospital discharge. 3599 (8%) patients were admitted to critical care after surgery with a median length of stay of 1·2 days (IQR 0·9-3·6). 1358 (73%) patients who died were not admitted to critical care at any stage after surgery. Crude mortality rates varied widely between countries (from 1·2% [95% CI 0·0-3·0] for Iceland to 21·5% [16·9-26·2] for Latvia). After adjustment for confounding variables, important differences remained between countries when compared with the UK, the country with the largest dataset (OR range from 0·44 [95% CI 0·19-1·05; p=0·06] for Finland to 6·92 [2·37-20·27; p=0·0004] for Poland).The mortality rate for patients undergoing inpatient non-cardiac surgery was higher than anticipated. Variations in mortality between countries suggest the need for national and international strategies to improve care for this group of patients.European Society of Intensive Care ... Article in Journal/Newspaper Iceland University of Szeged: SZTE Repository of Publications |
institution |
Open Polar |
collection |
University of Szeged: SZTE Repository of Publications |
op_collection_id |
ftunivszegedir |
language |
English |
topic |
03.02. Klinikai orvostan |
spellingShingle |
03.02. Klinikai orvostan Pearse Rupert M Moreno Rui P Bauer Peter Pelosi Paolo Metnitz Philipp Spies Claudia Vallet Benoit Vincent Jean-Louis Hoeft Andreas Rhodes Andrew Kollaborációs szervezet: European Surgical Outcomes Study (EuSOS) group for the Trials gr Molnár Zsolt Csomós Ákos Szűcs Ákos Mortality after surgery in Europe : a 7 day cohort study |
topic_facet |
03.02. Klinikai orvostan |
description |
Clinical outcomes after major surgery are poorly described at the national level. Evidence of heterogeneity between hospitals and health-care systems suggests potential to improve care for patients but this potential remains unconfirmed. The European Surgical Outcomes Study was an international study designed to assess outcomes after non-cardiac surgery in Europe.We did this 7 day cohort study between April 4 and April 11, 2011. We collected data describing consecutive patients aged 16 years and older undergoing inpatient non-cardiac surgery in 498 hospitals across 28 European nations. Patients were followed up for a maximum of 60 days. The primary endpoint was in-hospital mortality. Secondary outcome measures were duration of hospital stay and admission to critical care. We used χ(2) and Fisher's exact tests to compare categorical variables and the t test or the Mann-Whitney U test to compare continuous variables. Significance was set at p<0·05. We constructed multilevel logistic regression models to adjust for the differences in mortality rates between countries.We included 46,539 patients, of whom 1855 (4%) died before hospital discharge. 3599 (8%) patients were admitted to critical care after surgery with a median length of stay of 1·2 days (IQR 0·9-3·6). 1358 (73%) patients who died were not admitted to critical care at any stage after surgery. Crude mortality rates varied widely between countries (from 1·2% [95% CI 0·0-3·0] for Iceland to 21·5% [16·9-26·2] for Latvia). After adjustment for confounding variables, important differences remained between countries when compared with the UK, the country with the largest dataset (OR range from 0·44 [95% CI 0·19-1·05; p=0·06] for Finland to 6·92 [2·37-20·27; p=0·0004] for Poland).The mortality rate for patients undergoing inpatient non-cardiac surgery was higher than anticipated. Variations in mortality between countries suggest the need for national and international strategies to improve care for this group of patients.European Society of Intensive Care ... |
format |
Article in Journal/Newspaper |
author |
Pearse Rupert M Moreno Rui P Bauer Peter Pelosi Paolo Metnitz Philipp Spies Claudia Vallet Benoit Vincent Jean-Louis Hoeft Andreas Rhodes Andrew Kollaborációs szervezet: European Surgical Outcomes Study (EuSOS) group for the Trials gr Molnár Zsolt Csomós Ákos Szűcs Ákos |
author_facet |
Pearse Rupert M Moreno Rui P Bauer Peter Pelosi Paolo Metnitz Philipp Spies Claudia Vallet Benoit Vincent Jean-Louis Hoeft Andreas Rhodes Andrew Kollaborációs szervezet: European Surgical Outcomes Study (EuSOS) group for the Trials gr Molnár Zsolt Csomós Ákos Szűcs Ákos |
author_sort |
Pearse Rupert M |
title |
Mortality after surgery in Europe : a 7 day cohort study |
title_short |
Mortality after surgery in Europe : a 7 day cohort study |
title_full |
Mortality after surgery in Europe : a 7 day cohort study |
title_fullStr |
Mortality after surgery in Europe : a 7 day cohort study |
title_full_unstemmed |
Mortality after surgery in Europe : a 7 day cohort study |
title_sort |
mortality after surgery in europe : a 7 day cohort study |
publishDate |
2012 |
url |
http://publicatio.bibl.u-szeged.hu/30177/ http://publicatio.bibl.u-szeged.hu/30177/1/1-s2.0-S0140673612611489-main.pdf https://doi.org/10.1016/S0140-6736%2812%2961148-9 https://doi.org/10.1016/S0140-6736(12)61148-9 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://publicatio.bibl.u-szeged.hu/30177/1/1-s2.0-S0140673612611489-main.pdf Pearse Rupert M; Moreno Rui P; Bauer Peter; Pelosi Paolo; Metnitz Philipp; Spies Claudia; Vallet Benoit; Vincent Jean-Louis; Hoeft Andreas; Rhodes Andrew; Kollaborációs szervezet: European Surgical Outcomes Study (EuSOS) group for the Trials gr; Molnár Zsolt; Csomós Ákos; Szűcs Ákos; et al. (kollab. közrem.): Mortality after surgery in Europe : a 7 day cohort study. LANCET, 380 (9847). pp. 1059-1065. ISSN 0140-6736 (2012) doi:10.1016/S0140-6736(12)61148-9 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1016/S0140-6736%2812%2961148-910.1016/S0140-6736(12)61148-9 |
_version_ |
1799482741244297216 |